Gary Jansen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

27-1755 Issued in OR

Practice address

22021 SW Sherwood Blvd
Sherwood, OR 97140-9327

Phone

(503) 625-2290

Fax

(503) 625-6297

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1568417970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971400550",
            "telephone_number": "503-625-2290",
            "fax_number": "503-625-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22021 SW SHERWOOD BLVD",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409327",
            "telephone_number": "503-625-2290",
            "fax_number": "503-625-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-1755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "112050",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291856",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Innate Health Chiropractic LLC
• Heather Ann Jackson
• Jacqueline J Head PSYD PC
• William Joseph James, PSY.D.
• Jansen Chiropractic Clinic PC
• Larry Edwin Raymond Jasper, PSYD
• Kortnie Johnson, SDH
• Michael Wayne Johnson, M.D.
• Michelle A Johnson, LMT
• Rue Johnson

• Chiropractor in Sherwood, OR
• Providers in Sherwood, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.